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HAR-1 The bone engagement feature 206 is configured to contact and/or engage bone in response to threading, pulling, or pushing the tissue 208 through the one-way tissue engagement feature 204. In the illustrated embodiment, the bone engagement feature 206 may be a flange (illustrated in red) that circumscribes the body 202. The flange may be a separate part connected to the body 202. Alternatively, or in addition, the flange may be formed as part of and be integrated with the body 202. The bone engagement feature 206 may include a distal end 216 and a proximal end 218. 36 Added by DJM 9 2021 9/2/21, 12:00 AM
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HAR-1 The one-way tissue engagement feature 204 is connected to the body 202. The one-way tissue engagement feature 204 may include an opening 214 that extends through the body 202. The one-way tissue engagement feature 204 serves to secure the tissue 208 such that the tissue 208 can only move with respect to the fixation device 200 in one direction. Specifically, the one-way tissue engagement feature 204 may secure the tissue 208 within the opening 214 such that the tissue 208 can move in one direction (longitudinally in the illustrated embodiment) within the opening 214 but not the opposite direction. 35 Added by DJM 9 2021 9/2/21, 12:00 AM
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HAR-1 The body 202 has a distal end 210 and a proximal end 212. The body 202 provides structural support for the fixation device 200. The body 202 may have a variety of shapes and sizes. In one embodiment, the body 202 is an elongated body. The body 202 may have a circular longitudinal cross section. The body 202 may be tube shaped. 34 Added by DJM 9 2021 9/2/21, 12:00 AM
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HAR-1 As explained herein, the tissue 208 may be a manmade tissue or a biological tissue and/or a combination of these. For example, in one embodiment, the tissue 208 is a hamstring graft (i.e., Hamstring tendon autograft (GST)) that includes one or more sutures and/or suture tape secured to one end or extending along the length of the graft. In one embodiment, suture(s) or suture tape may extend along the length of the tissue 208 to add structural strength to the graft and may enhance the engagement of the one-way tissue engagement feature 204 of the tissue 208. 33 Added by DJM 9 2021 9/2/21, 12:00 AM
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HAR-1 Figure 2A illustrates a side perspective view of an example of a fixation device 200 according to one embodiment of the present disclosure. The fixation device 200 may include a body 202, a one-way tissue engagement feature 204, and a bone engagement feature 206. The fixation device 200 secures a tissue 208. 32 Added by DJM 9 2021 9/2/21, 12:00 AM
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HAR-1 In one embodiment, the engagement feature 140 is a surface on the distal end 120 of a structure that includes the engagement feature 140. Alternatively, or in addition, the engagement feature 140 may be on the proximal end 122 of a structure that includes the engagement feature 140, or at any position between the distal end 120 and the proximal end 122. 31 Added by DJM 9 2021 9/2/21, 12:00 AM
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HAR-1 The engagement feature 140 connects to the one-way tissue engagement feature 110. Consequently, the one-way tissue engagement feature 110 secures the engagement feature 140 to the tissue 114 and the engagement feature 140 secures the tissue 114 to the body part in contact with the engagement feature 140. 30 Added by DJM 9 2021 9/2/21, 12:00 AM
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HAR-1 In one embodiment, the distal end 120, or a part of the distal end 120, such as a surface of the distal end 120, may serve as an engagement feature 140. The engagement feature 140 maintains contact between the fixation device 100 and a part of the body in response to tension applied to the tissue 114 in the second direction 118 opposite the first direction 116. As the tension applied to the tissue 114 in the second direction 118 increases the pressure that the engagement feature 140 applies to the part of the body in contact with the engagement feature 140 increases. 29 Added by DJM 9 2021 9/2/21, 12:00 AM
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HAR-1 In one embodiment, the fixation device 100 may include a distal end 120 and a proximal end 122. The distal end 120 may contact a body part of a patient as part of fixating a tissue 114 to the body part. For example, in a transosseous (through the bone) fixation procedure the distal end 120 may contact the bone. The proximal end 122 may contact a part of the body but not for purposes of fixation. 28 Added by DJM 9 2021 9/2/21, 12:00 AM

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